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We Can’t Allow the CDC to Be Tainted by Politics

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The CDC’s Mortality and Morbidity Weekly Report, familiarly known as the MMWR, has been around for nearly a century, and is sacrosanct in the public health community. Loaded with reliable, timely data and analyses and authored by the world’s top scientists, it is required reading, especially during a pandemic.

To meddle with, delay or politicize these reports would be a form of scientific blasphemy as well as a breach of public trust that could undermine the nation’s efforts to fight the coronavirus. If public health officials lose confidence in this vital tool and doubt the substance of these reports, the U.S. response to the coronavirus pandemic will have been dealt yet another setback that stands to play out with greater suffering and more deaths in communities across the country.

A report in Politico this past weekend suggests that communications officials at the Department of Health and Human Services have been pushing back on, altering and even delaying MMWR reports to better align with a political narrative about the pandemic. E-mails cited by Politico reveal tensions and pushback between political appointees and Centers for Disease Control and Prevention scientists.

As acting director of the CDC at the dawn of the H1N1 pandemic in 2009, I felt the natural tensions that can occur between political appointees and career public health officials at CDC. During my tenure, the science was always—without exception—the driving force in the review process and in our communications to the public. Indeed, in the many decades I’ve spent in public health, including 13 years at CDC, science has been the arbiter of truth and carried the day no matter the administration or the political party. That must remain the case today.

The MMWR is among the most sober and least political public health communiques one can imagine. The name itself—Mortality and Morbidity Weekly Report—could only have been conceived by scientists rather than professional communicators. I’ve reviewed hundreds and co-authored several of these reports, which are notoriously meticulous, built on foundations of data and notably devoid of adjectives. The just-the-facts approach could be frustrating, in fact, because any public health guidance that carried even a whiff of the subjective would be expunged from the reports by science-driven editors. This is as it should be for public health communications written for the public health community, and it’s why the integrity of these reports has been second to none.

In 2009, the first communications from CDC about H1N1 were included in the MMWR. Two cases in California detailed in an MMWR in April of that year gave us an early indication that the virus first reported in Mexico had crossed into the United States. From that point forward—much as we’re seeing today—the MMWRs would serve as a valuable tool in filling in the gaps in knowledge while informing public health officials in every state in the country, and in real time, what they might be facing. These reports are the keepers of the latest statistics and allow for sharing of information to be used in planning and response during a public health crisis.

Because the voice of the CDC has largely been silenced during the coronavirus pandemic and unable to regularly reach the public, the MMWRs have become an even more critical conduit for the latest information and data. Produced like clockwork and driven by scientific rigor, they have detailed everything from COVID-19 spread at church events to outbreaks among college students to a comprehensive look at who is dying from COVID-19 in the U.S. The latest report, issued the day the Politico story broke, detailed COVID-19 outbreaks at three Utah childcare facilities. Each report is an important puzzle piece in helping on-the-ground public health officials better understand the virus and emerging epidemiological learnings.

Since the early weeks of this pandemic, there have been questions about political influence on the science and public health guidelines, and whether the CDC has been able to do the necessary work to inform and lead the federal government’s response. But even as these debates have raged about whether to mask or not to mask and whether hydroxychloroquine was or wasn’t an effective treatment for COVID-19, the MMWRs have continued to produce revelatory and relevant pandemic intelligence—scientific documents that appeared immune to the day’s politics.

Instead, we now see the undermining of the public’s trust of our key institutions at the very moment we should be shoring up that trust. In communities of color, in particular, that have been disproportionately impacted by the coronavirus, many already don’t trust government’s role in health and in their lives. Systemic racism has caused, and continues to cause, great harm in these communities. We know from this pandemic’s short history—and from MMWRs—that Black, Latinx and Native Americans have been bearing the pandemic’s greatest toll. As we head into fall and the very real possibility that a coronavirus vaccine will be approved for public distribution, we cannot afford any further disintegration of trust in these communities and beyond. After all, a vaccine only matters if the public at large gets vaccinated.

The landmark of 200,000 deaths that is fast approaching reflects a scale of tragedy that the United States did not have to bear. CDC science should not be undermined nor the voices of its experts muted, or our nation will suffer a crisis of confidence and trust that will continue to hamper our recovery from this pandemic and open the door for more death and more suffering.

We cannot let this happen.

Source:- Scientific American

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Politics

Here is the latest on the New Brunswick election

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The New Brunswick Liberal Party has won a majority government, and Susan Holt will become the first woman to lead the province.

Here’s the latest from election night. All times are ADT.

10:15 p.m.

The results of the New Brunswick election are in, and with virtually all of the ballots counted, the Liberals won 31 seats out of 49.

The Progressive Conservatives won 16 seats.

The Green Party won two.

Voter turnout was about 66 per cent.

10 p.m.

Prime Minister Justin Trudeau has congratulated New Brunswick Liberal Leader Susan Holt for her party’s victory in the provincial election.

Trudeau says on the X platform he’s looking forward to working with Holt to build more homes, protect the country’s two official languages, and improve health care.

9:48 p.m.

During her victory speech tonight in Fredericton, New Brunswick premier-designate Susan Holt thanked all the women who came before her.

Holt will become the first woman to lead the province after her party won a majority government in the New Brunswick election.

The Liberals are elected or leading in 31 of 49 ridings.

9:30 p.m.

Blaine Higgs says he will begin a transition to replace him as leader of the Progressive Conservatives.

After being in power for six years, the Tories lost the election to the Liberals.

Higgs, who lost his seat of Quispamsis, says, “My leadership days are over.”

9:17 p.m.

The Canadian Press is projecting that Blaine Higgs, leader of the Progressive Conservative Party of New Brunswick since 2016, has lost in the riding of Quispamsis.

Higgs, 70, has been premier of New Brunswick since 2018, and was first elected to the legislature in 2010.

8:45 p.m.

When asked about the election results, Progressive Conservative chief of staff Paul D’Astous says that over the last 18 months the party has had to contend with a number of caucus members who disagreed with its policy.

D’Astous says the Tories have also had to own what happened over the last six years, since they came to power in 2018, adding that the voters have spoken.

8:39 p.m.

The Canadian Press is projecting that David Coon, leader of the New Brunswick Green Party, has won the riding of Fredericton Lincoln.

Coon, 67, has been leader of the party since 2014, the year he was first elected to the legislature.

8:36 p.m.

The Canadian Press is projecting that the New Brunswick Liberal Party has won a majority government in the provincial election.

Party leader Susan Holt will become the first woman premier in the province’s history.

8:20 p.m.

Early returns show a number of close races across the province, with the Liberals off to an early lead.

Liberal campaign manager Katie Davey says the results will show whether party leader Susan Holt, a relative newcomer, was able to capture the attention and trust of the people of New Brunswick.

Davey says she believes voters have welcomed Holt and her message, which focused on pocketbook issues, especially health care.

8 p.m.

Polls have closed.

Eyes will be on a number of key ridings including Fredericton South-Silverwood, where Liberal Leader Susan Holt is vying for a seat; Saint John Harbour, which has been competitive between the Tories and Liberals in recent elections; and Moncton East, a redrawn Tory-held riding that the Liberals have targeted.

At dissolution, the Conservatives held 25 seats in the 49-seat legislature. The Liberals held 16 seats, the Greens had three, there was one Independent and there were four vacancies.

This report by The Canadian Press was first published Oct. 21, 2024.

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A look at Susan Holt, Liberal premier-designate of New Brunswick

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FREDERICTON – A look at Susan Holt, premier-designate and leader of the New Brunswick Liberal party.

Born: April 22, 1977.

Early years: Raised in Fredericton, she attended Queen’s University in Kingston, Ont., and then spent a year in Toronto before moving abroad for three years, spending time in Australia and India.

Education: Earned a bachelor of arts in economics and a bachelor of science in chemistry from Queen’s University.

Family: Lives in Fredericton with her husband, Jon Holt, and three young daughters.

Hobbies: Running, visiting the farmers market in Fredericton with her family every Saturday.

Before politics: CEO of the Fredericton Chamber of Commerce, CEO of the New Brunswick Business Council, civil servant, business lobbyist, advocate, consultant and executive with an IT service company that trains and employs Indigenous people.

Politics: Worked as an adviser to former Liberal premier Brian Gallant. Won the leadership of the provincial Liberal party in August 2022 and was elected to the legislature in an April 2023 byelection.

Quote: “We don’t take it lightly that you have put your trust in myself and my team, and you have hope for a brighter future. But that hope I know is short-lived and it will be on us to deliver authentically, on the ground, and openly and transparently.” — Susan Holt, in her speech to supporters in Fredericton after the Liberals won a majority government on Oct. 21, 2024.

This report by The Canadian Press was first published Oct. 21, 2024.

The Canadian Press. All rights reserved.

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New Brunswick Liberals win majority, Susan Holt first woman to lead province

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FREDERICTON – New Brunswick voters have elected a Liberal majority government, tossing out the incumbent Progressive Conservatives after six years in power and handing the reins to the first woman ever to lead the province.

Liberal Leader Susan Holt is a relative newcomer to the province’s political scene, having won a byelection last year, eight months after she became the first woman to win the leadership of the party.

The Liberals appeared poised to take 31 of 49 seats to the Conservatives’ 16 and the Greens two.

Holt, 47, led the Liberals to victory after a 33-day campaign, thwarting Blaine Higgs’s bid to secure a third term as Tory premier.

The Liberal win marks a strong repudiation of Higgs’s pronounced shift to more socially conservative policies.

Higgs, meanwhile, lost in his riding of Quispamsis. In a speech to supporters in the riding, he confirmed that he would begin a leadership transition process.

As the Liberals secured their majority, Green Party Leader David Coon thanked his supporters and pledged to continue building the party, but he then turned his sights on the premier. “One thing is for sure,” he told a crowd gathered at Dolan’s Pub in Fredericton, “we know that Blaine Higgs is no longer the premier of this province.”

The election race was largely focused on health care and affordability but was notable for the remarkably dissimilar campaign styles of Holt and Higgs. Holt repeatedly promised to bring a balanced approach to governing, pledging a sharp contrast to Higgs’s “one-man show taking New Brunswick to the far right.”

“We need a government that acts as a partner and not as a dictator from one office in Fredericton,” she said in a recent interview with The Canadian Press.

Higgs focused on the high cost of living, promising to lower the provincial harmonized sales tax by two percentage points to 13 per cent — a pledge that will cost the province about $450 million annually.

Holt spent much of the campaign rolling out proposed fixes for a health-care system racked by a doctor shortage, overcrowded emergency rooms and long wait-times. A former business advocate and public servant, she promised to open 30 community health clinics across the province by 2028; remove the provincial sales tax from electricity bills; overhaul mental health services; and impose a three per cent cap on rent increases by 2025.

The 70-year-old Tory leader, a mechanical engineer and former Irving Oil executive, led a low-key campaign, during which he didn’t have any scheduled public events on at least 10 days — and was absent from the second leaders debate on Oct. 9.

Holt missed only two days of campaigning and submitted a 30-page platform with 100 promises, a far heftier document than the Tories’ two-page platform that includes 11 pledges.

When the election was called on Sept. 19, the Conservatives held 25 seats in the 49-seat legislature. The Liberals held 16 seats, the Green Party had three, there was one Independent and four vacancies. At least 25 seats are needed for a majority.

Higgs was hoping to become the first New Brunswick premier to win three consecutive elections since Liberal Frank McKenna won his third straight majority in 1995. But it was clear from the start that Higgs would have to overcome some big obstacles.

On the first day of the campaign, a national survey showed he had the lowest approval rating of any premier in the country. That same morning, Higgs openly mused about how he was perceived by the public, suggesting people had the wrong idea about who he really is.

“I really wish that people could know me outside of politics,” he said, adding that a sunnier disposition might increase his popularity. “I don’t know whether I’ve got to do comedy hour or I’ve got to smile more.”

Still, Higgs had plenty to boast about, including six consecutive balanced budgets, a significant reduction in the province’s debt, income tax cuts and a booming population.

Higgs’s party was elected to govern in 2018, when the Tories formed the province’s first minority government in almost 100 years. In 2020, he called a snap election — marking the first province to go to the polls during the COVID-19 pandemic — and won a slim majority.

Since then, 14 Tory caucus members have stepped down after clashing with the premier, some of them citing what they described as an authoritarian leadership style and a focus on conservative policies that represented a hard shift to the right.

A caucus revolt erupted last year after Higgs announced changes to the gender identity policy in schools. When several Tory lawmakers voted for an external review of the change, Higgs dropped dissenters from cabinet. A bid by some party members to trigger a leadership review went nowhere.

Higgs has also said a Tory government would reject all new applications for supervised drug-consumption sites, renew a legal challenge against the federal carbon pricing scheme and force people into drug treatment if authorities deem they “pose a threat to themselves or others.”

This report by The Canadian Press was first published Oct. 21, 2024.

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